Provider Demographics
NPI:1841090495
Name:LE, LINH OSWALDO (PHARMD)
Entity type:Individual
Prefix:
First Name:LINH
Middle Name:OSWALDO
Last Name:LE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LEAF LAKE BLVD APT 1703
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-7260
Mailing Address - Country:US
Mailing Address - Phone:559-253-3926
Mailing Address - Fax:
Practice Address - Street 1:205 FIELDSTOWN RD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2489
Practice Address - Country:US
Practice Address - Phone:205-631-5638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23738183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist